Referrals Clerk at Livingston Community Health in Livingston, California

Job Description:

Position Overview

A successful Referrals Clerk must be passionate about healthcare and want to make a difference in the lives of others while acting as a mission-driven catalyst to help Livingston Community Health deliver the best quality of care and excellent service to our patients and their families.

The Referrals Clerk has the responsibility to refer patients to appropriate referring provider according to insurance and/or third-party payer. Referrals Clerk will keep patient and medical staff updated regarding the status of referrals.
Essential Functions, Duties, and Responsibilities

Process patient care referrals to outside agencies for STAT and standard referrals according to organizational policies, procedures, and responsibilities.
Follow up with outside referral agencies in a timely manner to assure that appointments are made for appropriate care or testing.
Assist patients with any questions or concerns by directing them to appropriate resources.
Contact patient to provide relevant information pertaining to the referral.
Communicate relevant referral information to providers and care teams.
Submit requests for prior authorization as needed to process referral orders.
Research and answer questions/correspondence regarding a patient's account in a timely manner.
Follow up with patients regarding no show status at specialist facility appointment and encourage patients to reschedule with specialist facility, whenever possible.
Receive and prepare reports for scanning into chart by Medical Records department.
Maintain referral tracking status for individual referrals in i2i Tracks.
Enter all relevant referral tracking information into the Electronic Health Record system.
Document communication with patients using NextGen's Telephone Communication Template and/or i2i Tracks.
Answer all incoming calls in a professional and timely manner.
Communicate any issues processing referrals to Senior Referral Clerk or Referrals Supervisor.
Safeguard privacy and confidentiality of all patient information by following HIPAA guidelines.
Other duties as assigned.

Education, Knowledge, Skills, and Abilities
Education -

Minimum of a High School Diploma or GED required.
Certificate of Completion of medical assistant from a certified school preferred.

Knowledge, Skills, and Abilities -

At least 2 years of relevant medical office experience in a similar setting.
Bilingual Spanish/English preferred.
Excellent customer service, active listening, excellent verbal, and written communication skills.
Ability to work well with people.
Desire to work as part of a team.
Ability to work well and concentrate in a busy office setting.
Ability to follow directions well without constant supervision.
Demonstrated initiative and ability to adapt to a fast pace and changing environment.